Healthcare Provider Details

I. General information

NPI: 1225029309
Provider Name (Legal Business Name): NOREEN MARIE MARSLAND PSYD, MPA, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7514 GIRARD AVE STE 3
LA JOLLA CA
92037-5156
US

IV. Provider business mailing address

7514 GIRARD AVE STE 3
LA JOLLA CA
92037-5156
US

V. Phone/Fax

Practice location:
  • Phone: 858-213-1014
  • Fax: 619-354-7138
Mailing address:
  • Phone: 858-213-1014
  • Fax: 619-354-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY35943
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW012392L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: